Organization
TALLASSEE REHAB
Active
Other names
Crain Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA VAN ETTEN (DIR OF CRED & ACC PAYABLE)
(334) 283-8032
Entity
Organization
Contact information
Practice address
301 WRIGHT ST, TUSKEGEE, AL 36083-1558
(334) 725-1261
(334) 725-1262
Mailing address
1000 FRIENDSHIP RD, TALLASSEE, AL 36078-1265
(334) 283-8032
(334) 283-1136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890007880
—
AL
Enumeration date
01/08/2007
Last updated
11/04/2024
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